Individual
RICHARD GERARD JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
34 CONNORS ST, GARDNER, MA 01440-2605
(978) 632-8783
(978) 632-4873
Mailing address
PO BOX 1025, 34 CONNORS STREET, GARDNER, MA 01440-6025
(978) 632-8783
(978) 632-4873
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2728
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0344478
—
MA
Enumeration date
05/18/2006
Last updated
03/10/2008
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